Nursing Care Process: Multidisciplinary Management of Pressure Ulcers and Associated Comorbidities

Abstract

Pseudomonas aeruginosa is the main pathogenic species of the genus Pseudomonas, characterized by its invasive and toxigenic capacity, which makes it a significant infectious agent in humans. Pressure ulcers are highly susceptible to infection by Pseudomonas aeruginosa because damage to the skin and underlying tissues provides an environment conducive to bacterial proliferation. Objective: To implement the Nursing Care Process (NCP) as a strategy that optimizes patient care and strengthens the interaction between the nurse, the patient and their family, consolidating itself as a fundamental tool in the practice of the nursing professional. Methodology: A systematic description of the process of assessment, planning, execution and evaluation of the nursing care plan was carried out, based on the Marjory Gordon model and guided by the NANDA, NIC and NOC taxonomies. This study focused on a geriatric male patient with gluteal pressure ulcers infected with Pseudomonas aeruginosa, as well as underlying diseases and other predisposing factors for this infection. Results and discussion: The patient was identified to have an alteration in the specific host defense mechanisms, highlighting a relative immunosuppression. Predisposing factors included advanced age, type II diabetes mellitus, arterial hypertension, dilated cardiomyopathy, bullous pemphigoid, acute pyelonephritis, and pressure ulcers in the gluteal region and other areas of the body. The presence of Pseudomonas aeruginosa was confirmed in these lesions.